Drug interactions

fluconazole + phenytoin

For healthcare professionals — reference only. This page is a brief summary, not medical advice and not a substitute for official labeling or clinical judgement. Always verify before prescribing or dispensing.

Overview

Severity: Major · Evidence level: High

↑ phenytoin levels/toxicity.

Mechanism of action

CYP2C9/2C19 inhibition.

Clinical management

Monitor and adjust phenytoin dose.

Drug reference

References

Frequently asked questions

Can I take fluconazole with phenytoin?

The interaction is rated: Major. ↑ phenytoin levels/toxicity.

How serious is the interaction between fluconazole and phenytoin?

The interaction is rated: Major. Evidence level: High.

How is the interaction between fluconazole and phenytoin managed?

Monitor and adjust phenytoin dose.

Why do fluconazole and phenytoin interact?

CYP2C9/2C19 inhibition.

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